APPLICATION for:1-admission as a Code Party under the Market Code, and
2-membership of Central Market Agency Limited
Please complete this Application:1. to be admitted as a Code Party to the Market Code(being the document designated from time
to time as the market code pursuant to paragraph 3A of the Water Services (Codes and
Services) Directions 2007 (“Code Party” and “Market Code” respectively) in accordance with the
Admission Conditions contained in the Market Code, and
2. for membership of Central Market Agency Limited, a company limited by guarantee
incorporated in Scotland under the Companies Acts with the registered Number SC 328635 and
having its Registered Office at 48 Enterprise House, Springkerse Business Park, Stirling, FK7
7UF(“CMA”)
and then sign, date and send it to the Central Market Agency Limited (CMA), 48 Enterprise House,
Springkerse Business Park, Stirling, FK7 7UF.
1
Information Required
Name and contact details:
Applicant Details
(Please provide full legal name and
address of registered/principle office of
Applicant and principle telephone number)
2
Is the Applicant a company incorporated
under the Companies Act 1985?
Yes / No (delete as applicable)
Company Number:
3
(If yes, please provide Company Number)
Applicant’s contact:
(the contact
issues)
for
handling
Name:
application Position:
Address:
Facsimile:
Telephone No:
e-mail:
4
Contract Manager:
Name:
(Market Code Part 5 (Market Design),
Section 5.2.4 and Transition contact under
Market Code Schedule 5 (Transitional
Duties), paragraph 4.1.2(i))
Position:
Address:
Facsimile:
Telephone No:
e-mail:
5
TP Member:
Name:
(Market Code Part 8 (Governance),
Section 8.6.2)
Position:
Address:
Facsimile:
Telephone No:
e-mail:
6
Authorised signatory/ies (not already
covered in 3, 4 and 5 above):
Name:
Position:
Name:
Position
7
8
Details of Licenses or Licence exemptions
held (which have not been the subject of
any successful appeal):
(Please include details as to whether
Licence is full, specialist or self-supply)
Is the Applicant registered for VAT
purposes?
Yes / No (delete as applicable)
VAT registration number:
(If yes, please provide the VAT registration
number)
DECLARATION
(a)
I apply on behalf of the Applicant for the Applicant to become a Code Party to the Market Code in
accordance with the Admission Conditions.
(b)
I apply on behalf of the Applicant for the Applicant to be admitted to membership of CMA in
accordance the Memorandum and Articles of CMA, with the rights and subject to the obligations
imposed on members by those Memorandum and Articles, and, subject to the Applicant being
admitted to membership of CMA I undertake on behalf of the Applicant to observe and fulfil those
obligations
(c)I am duly authorised to sign this Application on behalf of the Applicant.
(d)
*(1).I accept on behalf of the Applicant that the CMA may take direct debit payments as provided
for in this Admission Application for any and all payments that is, are or become due by the
Applicant to the CMA.
*(2).I accept on behalf of the Applicant that all invoices issued by CMA in respect of any payment
due by the Applicant to CMA shall be payable by the Applicant on issue by CMA and that if any
such payment is not paid to CMA in full within 5 Business Days (as defined in the Market Code)
the Applicant will have to pay interest at the rate of 3 per cent above the base lending rate from
time to time of The Royal Bank of Scotland plc( or such equivalent rate as may be determined
firm time to time by CMA) and that from the date of the invoice issued in respect of such unpaid
amount until such unpaid amount and all interest thereon have been paid in full to CMA.
* Delete one of Paragraphs (d)1 and (d)2 .If neither is , or both are, deleted Paragraph (d)1 will
apply.
(e)
I confirm on behalf of the Applicant that:(1). the Applicant has signed-up to a Wholesale Services Agreement and the Operational
Code, and
(2). the Licence (as defined in the Market Code) which was granted to the Applicant was
not the subject of any successful appeal.
(f)
I agree on behalf of the Applicant that if the Applicant is a member of a Licensed Provider’s
Group (as defined in the Market Code) and another member of that Group is already a member
of CMA , this application is to be treated as an application only to be admitted as a Code Party to
the Market Code.
(g)
I confirm that the information given in this Application is complete and correct.
Signed: …………………………………..
Name: ……………………………………
Position: …………………………………
Date: ……………………………………..
It is the CMA’s aim that an Application will be processed within 10 Business Days of receipt by the CMA.
If an application is successful, the Applicant will then be invited to enter into an Accession Agreement to
become a Code Party and upon that Accession Agreement being executed by the parties thereto the
Applicant will be admitted as a Code Party to the Market Code, and subject to Paragraph (f) above as a
member of CMA.
Data Protection Act Notice
The CMA will use your personal information contained on this form together with other information for
our business administration purposes. The CMA may disclose this information to its service providers,
agents, Code Parties and other bodies fulfilling central functions within the water industry and, if required
by law, to any other agency. You have a right to ask for a copy of your information (for which the CMA
may charge a small fee) and to correct any inaccuracies.
NOTE: Unless the context otherwise requires, words and expressions defined in the Market Code shall
have the same meanings in this form.
Instruction to your
Bank or Building Society
to pay by Direct Debit
Please fill in the whole form including official use box using a ball
point pen and send it to:
Service User Number
Central Market Agency Ltd
48 Enterprise House
Springkerse Business Park
Stirling
FK7 7UF
FOR Central Market Agency Ltd OFFICIAL USE ONLY
This is not part of the instruction to your Bank or Building Society.
Name(s) of Account Holder(s)
Bank/Building Society account number
Branch Sort Code
Name and full postal address of your Bank or Building Society
To: The Manager
Bank/Building Society
Address
Instruction to your Bank or Building Society
Please pay Central Market Agency Ltd Direct Debits from the account
detailed in this Instruction subject to the safeguards assured by the
Direct Debit Guarantee. I understand that this Instruction may remain
with Central Market Agency Ltd and, if so, details will be passed
electronically to my Bank/Building Society.
Signature(s)
Postcode
Date
Reference Number
Banks and Building Societies may not accept Direct Debit Instructions from some types of account
This guarantee should be detached and retained by the Payer.
The
Direct Debit
Guarantee
 This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits
 If there are any changes to the amount, date or frequency of your Direct Debit Central Market Agency Ltd will notify you
five working days in advance of your account being debited or as otherwise agreed. If you request Central Market
Agency Ltd to collect a payment, confirmation of the amount and date will be given to you at the time of the request
 If an error is made in the payment of your Direct Debit by Central Market Agency Ltd or your Bank or Building Society,
you are entitled to a full and immediate refund of the amount paid from your Bank or Building Society.
- If you receive a refund you are not entitled to, you must pay it back when Central Market Agency Ltd asks you to
 You can cancel a Direct Debit at any time by simply contacting your Bank or Building Society. Written confirmation may
be required. Please also notify us.
DDI1
Annex B
Self-Certification Form
On behalf of ………………………….…….. (“the Licensed Provider”), I declare that the Licensed
Provider:

Understands its obligations under the Market Code, Code Subsidiary Documents and the market
framework generally;

Acknowledges that the Licensed Provider is bound by the Performance Standards and is liable for
Performance Standard Charges in accordance with the Market Code;

Has undertaken training provided by the Central Market Agency on the operation of the Low
Volume Interface; and

Can operate the Low Volume Interface for the Central Systems;

Acknowledges that the Commission, the Central Market Agency and any of their agents will not
be held responsible for any difficulty that the Licensed Provider may encounter using the Low
Volume Interface.
This declaration relates to water services/sewerage services/both water and sewerage services [delete
as appropriate].
Signed on behalf of the Licensed Provider by:
………………………………….. (sign name)
………………………………….. (print name)
Position:
……………………………………………………
at:
………………………… (Time)
on:
………………………… (Date)
before this witness:
Signature:
………………………………
Name:
………………………………
Address:
………………………………
………………………………
………………………………